Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 7

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Independent Duty Corpsman Providers

NPI Name Type Address

1477505733

IDC Cindy Marie Cook

Individual

6000 W Highway 98

Pensacola, FL

1669753620

Jon Anthony I Eustaquio

Individual

1905 W Intendencia St

Pensacola, FL

1699072165

Noah James Serigny

Individual

6000 W Highway 98

Pensacola, FL

1093945198

IDC Bryan Michael Clarke

Individual

6000 W Highway 98

Pensacola, FL

1679917033

Lawrence Coronel Jimenez

Individual

760 East Ave Bldg 3911

Pensacola, FL

1407528433

MR. IDHS, ACLS, PALS Benjamin Thomas White

Individual

211 South Ave

Pensacola, FL

1326760661

Jose Eduardo Mosquera La Torre

Individual

211 South Ave Ste G

Pensacola, FL

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 1710I1002X
Specialization Independent Duty Corpsman
Display Name Independent Duty Corpsman
Taxonomy Group Other Service Providers
Taxonomy Classification Military Health Care Provider
Definition A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Effective Date September 30, 2009
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Military Health Care Provider Codes

Independent Duty Medical Technicians

1710I1003X • providers: 1,299

Military Health Care Provider

171000000X • providers: 1,689